Organization
MITCHELL TC LLC
Active
Other names
Texas Care Waller
Organization subpart
No
Provider details
NPI number
Authorized official
ARIENNE WILLIAMS LPC (DIRECTOR)
(888) 988-6329
Entity
Organization
Contact information
Practice address
40190 BUSINESS 290 STE 230, WALLER, TX 77484-5771
(832) 544-0161
Mailing address
40190 BUSINESS 290 STE 230, WALLER, TX 77484-5771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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